Individual
ASHLEY DREW SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
620 THOMPSON AVE, WEST MEMPHIS, AR 72301-3257
(870) 702-4911
(870) 702-6386
Mailing address
801 BELLE RIVE DR, MARION, AR 72364-5012
(870) 739-2223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2039
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154107721
—
AR
Enumeration date
11/17/2006
Last updated
07/09/2007
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